ANALYTICAL CROSS-SECTIONAL STUDY TO DETERMINE WHETHER SIGNIFICANT CORRELATION IS PRESENT BETWEEN CORRECTED QT INTERVAL WITH BMI AND WAIST-HIP RATIO IN 1ST PROFESSIONAL MBBS STUDENTS IN MEDICAL TEACHING INSTITUTE

Main Article Content

Bhausaheb Jagdale
Priyanka Mourya
Yash chandak
Ameya Degloorkar
Vrushabh Daga
Prafulla Chandak

Keywords

Corrected QT Interval, BMI, Waist-hip Ratio, MBBS students

Abstract

Prolonged QT interval is associated with high incidence of coronary heart disease in adults. Our country has a significant prevalence of coronary heart disease, and now the prevalence of obesity is also increasing specially among the younger population.  Obesity is also found to be associated with prolonged QT interval. This study was carried out to determine whether significant correlation is present between QTc (corrected QT interval) and waist-hip ratio and BMI in 1st professional MBBS students. This is a cross-sectional (observational), analytical study. BMI, waist & hip circumference and ECG are recorded by standard techniques. Waist hip ratio (WHR) is calculated. QTc is calculated using Bazett’s formula. Pearson’s correlation coefficient will be calculated for association between BMI and QTc as well as for association between WHR and QTc. This study shows that QTc interval in young adults is significantly positively correlated with BMI, WC, and WHR. Obesity is associated with increase in levels of leptin, free fatty acids and pro-inflammatory cytokines. The findings of this study will motivate the population towards a life of enhanced physical activity

Abstract 131 | Pdf Downloads 81

References

1. Hadaye RS, Manapurath RM, Gadapani BP. Obesity prevalence and determinants among young adults, with special focus on normal-weight obesity; a cross-sectional study in Mumbai. Indian J Community Med 2020;45:358-62.
2. Lavie CJ, Milani RV, Ventura HO. Obesity and Cardiovascular Disease - Risk Factor, Paradox, and Impact of Weight Loss. J Am Coll Cardiol 2009;Vol. 53(21):1925–32
3. Patel KHK, Reddy RK, Sau A, Sivanandarajah P, Ardissino M, Ng FS. Obesity as a risk factor for cardiac arrhythmias. BMJMED 2022;1:e000308. doi:10.1136/bmjmed-2022-00030
4. Jons, C, Moss, A, Goldenberg, I., Liu J, McNitt S, Zareba W et al. Risk of Fatal Arrhythmic Events in Long QT Syndrome Patients After Syncope. J Am Coll Cardiol. 2010 Feb, 55(8):783–788. https://doi.org/10.1016/j.jacc.2009.11.042
5. Arslan E, Yiginer O, Yavaşoglu I, Ozcelik F, Kardesoglu E, Nalbant S. Effect of uncomplicated obesity on QT interval in young men. Pol Arch Med Wewn 2010; 120 (6):209-213
6. Sharma MK, Upadhyah AA, Dhanani JV, Pandit DP. Study of relationship between anthropometric parameters and heart rate-corrected QT interval (QTc) in normal body mass index Indian males with abdominal obesity. Natl J Physiol Pharm Pharmacol 2018;8:920-923.
7. Gupta R, Misra A, Vikram NK, Kondal D, Sen Gupta S, Agrawal A et al. Younger age of escalation of cardiovascular risk factors in Asian Indian subjects. BMC Cardiovascular Disorders 2009; 9:28 doi:10.1186/1471-2261-9-28
8. Misra A, Chowbey P, Makkar BM, Vikram NK, Wasir JS, Chadha D et al. Consensus Statement for Diagnosis of Obesity, Abdominal Obesity and the Metabolic Syndrome for Asian Indians and Recommendations for Physical Activity, Medical and Surgical Management. The Journal of the Association of Physicians of India. 2009;57: 163-170. Available from www.japi.org.
9. Chamukuttan S, Viswanathan V, Ambady R. Cutoff values for normal anthropometric variables in Asian Indian adults. Diabetes care. 2003 May;26(5):1380-84.
10. Goldenberg I, Moss AJ, Zareba W. QT interval: how to measure it and what is "normal”. J Cardiovasc Electrophysiol. 2006 Mar;17(3):333-6. doi: 10.1111/j.1540-8167.2006.00408.x
11. Kumar T, Jha K, Sharan A, Sakshi P, Kumar S, Kumari A. Study of the effect of obesity on QT-interval among adults. J Family Med Prim Care 2019;8:1626-9.
12. Grandinetti A, Chow DC, Miyasaki M, Low P. The journal of clinical hypertension 2010;12(4):315-20.
13. Ma Q, Li Z, Guo X, Guo L, Yu S, Yang H et al. Prevalence and risk factors of prolonged corrected QT interval in general Chinese population. BMC Cardiovascular Disorders. 2019;19:276
14. Aromolaran AS, Boutjdir M. Cardiac Ion Channel Regulation in Obesity and the Metabolic Syndrome: Relevance to Long QT Syndrome and Atrial Fibrillation. Front. Physiol. 2017;8:431. doi: 10.3389/fphys.2017.00431